| Samuel Agubosim, MD | |
|
1574 Henthorne Dr, Suite C, Maumee, OH 43537-1397 | |
| (419) 794-1170 | |
| (419) 794-1171 |
| Full Name | Samuel Agubosim |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology |
| Experience | 31 Years |
| Location | 1574 Henthorne Dr, Maumee, Ohio |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467446682 | NPI | - | NPPES |
| 000000220323 | Other | OH | ANTHEM |
| 2132187 | Medicaid | OH | |
| P00694361 | Other | OH | MEDICARE RAILROAD |
| 2873887 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | 35074877 (Ohio) | Primary |
| 207LP2900X | Anesthesiology - Pain Medicine | 35074877 (Ohio) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Blanchard Valley Hospital | Findlay, OH | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Blanchard Valley Regional Health Center | 3971404187 | 86 |
| Entity Name | Blanchard Valley Regional Health Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083665251 PECOS PAC ID: 3971404187 Enrollment ID: O20040120000179 |
| Entity Name | Ams Ohio Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558800532 PECOS PAC ID: 2769743335 Enrollment ID: O20180221002674 |
| Entity Name | Sandusky Anesthesia Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770907859 PECOS PAC ID: 3274895271 Enrollment ID: O20180402000752 |
| Entity Name | Genesis Anesthesia Providers, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295205433 PECOS PAC ID: 0042558066 Enrollment ID: O20190215001836 |
| Mailing Address | Practice Location Address |
|---|---|
| Samuel Agubosim, MD 1574 Henthorne Dr, Suite C, Maumee, OH 43537-1397 Ph: (419) 794-1170 | Samuel Agubosim, MD 1574 Henthorne Dr, Suite C, Maumee, OH 43537-1397 Ph: (419) 794-1170 |
Thomas W Gerken, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 5901 Monclova Rd, Maumee, OH 43537 Phone: 419-897-8370 | |
John L. Rust Jr., MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 5901 Monclova Rd, Maumee, OH 43537 Phone: 419-897-8370 | |
Patrick J. Schafer, Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 5901 Monclova Rd, Maumee, OH 43537 Phone: 419-897-8370 | |
Thomas J. Andersen, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 5901 Monclova Rd, Maumee, OH 43537 Phone: 419-897-8370 | |
Bashar N Jouma, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 5901 Monclova Rd, Heart Center, Maumee, OH 43537 Phone: 419-893-5911 | |
Elizabeth Fowler, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 5901 Monclova Rd, Maumee, OH 43537 Phone: 419-897-8370 |